<template>
    <div class="add">
	<form action="customer?method=addillness" method="post">
	<table>
		<tr>
			<td>姓名</td>
			<td><input type="text" value="${customer.getCus_name()}"></td>
		</tr>
		<tr>
			<td>伤病</td>
			<td><input type="text" name="illness"></td>
		</tr>
		<tr>
			<td>时间</td>
			<td><input type="text" name="time"></td>
		</tr>
		<tr>
			<td>就诊医院</td>
			<td><input type="text" name="hospital"></td>
		</tr>
		<tr>
			<td>备注</td>
			<td><input type="text" name="text"></td>
		</tr>
		<tr>
			<td>
				<button class="edit" type="button" onclick="window.history.back(-1)">返回</button>
				<button class="remove" type="submit">提交</button>
			</td>
		</tr>
	</table>
	</form>
	</div>
</template>